Active NPI
Laura Buchanan, PHARMD
- Pharmacist
- Moscow, ID
National Provider Identifier
1114201324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6402
- Practice address
- 414 N Main St
Moscow, ID 83843-2631 - Phone
- (208) 882-6076
- Fax
- (208) 882-6846
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6402 | ID | Primary |
| Pharmacist | 183500000X | PH60148812 | WA |
Addresses
Primary practice location
414 N Main St
Moscow, ID 83843-2631
Mailing address
414 N Main St
Moscow, ID 83843-2631
Phone (208) 882-6076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6402 | ID | MD | Pharmacist |
| PH60148812 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Moscow, ID
- NPI 1346488590
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1114201324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N MAIN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432631",
"telephone_number": "208-882-6076",
"fax_number": "208-882-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N MAIN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432631",
"telephone_number": "208-882-6076",
"fax_number": "208-882-6846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6402",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60148812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.